RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

BANGALORE, KARNATAKA.
PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION

1. NAME OF THE CANDIDATE
AND ADDRESS
Mr.Sudhakar Phlipdhas
First year M.Sc.Nursing,
Rajarajeswari College Of
Nursing, Mysore Road,
a!"ipura
#angalore$ %&''().
2. NAME OF THE INSTITUTION Rajarajeswari college of Nursing
"angalore
3. COURSE OF THE STUDY AND
SUBJECT
M.Sc Nursing
Psychiatric Nursing
4. DATE OF ADMISSION TO THE
COURSE
*'$'& $+'*'
5. TITLE OF THE STUDY A !"#$ !% &' !('
'))'*!+,'-' %) S!."*!".'#
T'&*(+-/ P.%/.&00' %-
K-%12'#/' R'/&.#+-/ E&!+-/
D+%.#'. &0%-/ &#%2%*'-!
/+.2 &! '2'*!'# *%22'/' +-
B&-/&2%.'.3
*
4. BRIEF RESUME OF THE INTENDED 5ORK
INTRODUCTION
PREVENTION IS BETTER THAN CURE3
,ating disorders in adoloscents are illnesses that cause a person to adopt har!ful eating
ha"its. -hey are !ost co!!on a!ong teenage girls and wo!en, and fre.uently occur along with
other psychiatric disorders such as depression and an/iety disorders. -he poor nutrition
associated with eating disorders !ay har! organs in the "ody and, in se0ere cases, !ay lead to
death.
1n eating disorder is usually triggered "y one or !ore e0ents. Causes !ay range fro! a
person2s parents getting di0orced, to e!otional or se/ual a"use, to a trau!atic life$threatening
e0ent. 1fter the person sufferers fro! a trau!atic e0ent si!ilar to the a"o0e$!entioned
e/a!ples, a trigger can initiate the disorder. 1 trigger can "e a person co!!enting negati0ely on
weight or appearance or e/posure to the !edia or thin !odels and actresses. Once a trigger is
introduced, the sufferer2s energy is focused on food and weight and what starts out as a diet
slowly escalates to a way of regaining control o0er situation.
,ating disorders co!!only affect adolescent girls, "ut the nu!"er of !ales that suffer
fro! these disorders is on the rise. -hese disorders can ha0e their onset at any point in a person2s
life. 3t is i!portant to understand that an eating disorder is not !eant to "e a weight loss tool, "ut
often occurs as a way to cope with an underlying pro"le!
*
.
1!ong the known eating disorders, anore/ia ner0osa, "uli!ia ner0osa and "inge eating
rise as the !ost ada!ant cases particularly in western countries. Research su!s up that o0er a
span of one lifeti!e there are at least %', ''' people who will die "ecause of eating disorders. 3f
untreated, a total of +'4 of indi0iduals inflicted with eating disorders will die. #ut if applied
with treat!ent, it is tri!!ed down to "etween +$54
+
.
* in % wo!en struggle with an eating disorder or disordered eating. ,ating disorders
affect up to +) !illion 1!ericans and (' !illion worldwide. 1n esti!ated *' to *% 4 of people
with anore/ia or "uli!ia are !ale. 6' 4 of those who ha0e eating disorders are wo!en "etween
the ages of *+ and +%. 3t is esti!ated that currently ** 4 of high school students ha0e "een
diagnosed with an eating disorder. 5% 4 of nor!al dieters progress to pathological dieting. Of
+
those, +'$+% 4 progress to partial or full syndro!e eating disorders. 1ccording to a recent study,
o0er *7+ the fe!ales "etween the ages of *8$+% would prefer to "e run o0er "y a truck then "e
fat, and +75 sur0eyed would rather "e !ean or stupid. %* 4 of 6 and *6 year$old girls feel "etter
a"out the!sel0es if they are on a diet. )+ 4 of *
st
9 5
rd
grade girls want to "e thinner. )& 4 of 6$
** year olds are :so!eti!es; or 0ery often; on diets, and 8+ 4 of their fa!ilies are :so!eti!es;
or :0ery often; on diets
5
.
Most people in 3ndia struggle to get enough to eat $ one esti!ate is that &'4 of 3ndia2s
wo!en are clinically !alnourished. #ut psychiatrists in ur"an areas are reporting cases of
anore/ia ner0osa, the so$called sli!!ing disease that can cause sufferers to star0e the!sel0es to
death. Most people in 3ndia ha0e still not heard of the condition "ut <elhi psychiatrist Sanjay
Chugh says he has seen an e/plosion in anore/ia cases o0er the past few years. =e says a typical
case could "e a *($year$old girl of around fi0e feet si/ >*.&8!? weighing just )st *'l"s >5'kg?
who is con0inced she is o0erweight
)
.
Schools and colleges are the place of learning for the children@s and adults and is in fact
!icrocos!s of the larger co!!unity. School counselors are in daily contact with the highest risk
group for de0eloping eating disorders$$children and adolescents. School counselors are in a
position to identify at$risk indi0iduals, i!ple!ent effecti0e school$"ased pre0ention progra!s,
!ake appropriate referrals, and pro0ide support for reco0ering indi0iduals. 1n o0er0iew of a
theory of reco0ery for eating disorders reinforces the i!portance of early inter0ention
%
.
4.1 NEED FOR THE STUDY
,/cessi0e dieting $ dieting to the e/tent that you lose !ore weight than is healthy $ is
seen "y so!e as AtrendyA or e0en necessary to "e sli! and fashiona"le. Fro! "elly$"aring
fashions, to gaunt, skeletal runway !odelsB wo!en ha0e taken the idea that Athin is inA to new
e/tre!es in the new !illenniu!. ,ating disorders represent a !ental health effect of this
preoccupation with "ody weight, shape and diet. -ypically, if you ha0e an eating disorder, you2ll
ha0e unhealthy eating "eha0ior. -his !ay include e/tre!e and unhealthy reduction of the
a!ount of food intake or !ay se0erely o0ereat. 3f an indi0idual ha0e an eating disorder, she or he
al!ost always will feel "ad a"out eating, "ody shape, weight $$ or all three
&
.
1 study was conducted in Fiji, to e/a!ine the effect of the introduction of tele0ision on
eating "eha0ior in a for!erly !edia$naC0e population, has produced so!e 0ery interesting
5
findings . -he study reported parallel increases in the rate of disordered eating "eha0iours and in
attitudes fa0ouring thinner "ody i!age and self$induced 0o!iting in young girls . -he results add
considera"le weight to the theory that the e!phasis on wo!en2s thinness "y the !edia and
fashion industries, which are "eco!ingly increasingly ho!ogeniDed due to glo"aliDation, is now
leading to a rise in disordered eating "eha0iours in the less de0eloped world
(
.
1n e/ploratory study was done to e0aluate the pre0alence of weight concerns, and
su"se.uent eating "eha0ior !odifications a!ong a group of adolescent girls in Sikki!. 1 total of
%(( girls were selected fro! se0eral "locks of all four districts of Sikki!. Pre$tested FFE and
dietary "eha0iour .uestionnaire were can0assed through direct inter0iews. -he results show that
concern with weight reduction is growing a!ong adolescent girls, particularly a!ong ur"an girls
of affluent fa!ilies. Firls fro! fa!ilies with a higher econo!ic status are a"out two ti!es !ore
likely to report dissatisfaction with their "ody weight >OR G *H6&B P I 'H'%? and these girls are
fi0e ti!es !ore likely to report the need for dieting
8
.
1 Co!pariti0e study was done to deter!ine the nature of fa!ily distress in fa!ilies of
girls with anore/ia ner0osa >1N? to girls with a chronic illness and girls without a condition.
Participants consisted of +% adolescent girls with a pri!ary <SM$3J diagnosis of 1N, +' girls
with an 3C<$*' diagnosis of insulin dependent dia"etes !ellitus >3<<M?, and +' girls fro! the
co!!unity. participants co!pleted .uestionnaires of fa!ily functioning and psychological
sy!pto!s. Khen co!pared with !others of daughters with 3<<M, fa!ilies of girls with 1N
e/perienced greater fa!ily conflict, reduced parental alliance, and increased feelings of
depression. Once the e!otional i!pact of the illness on the !others was statistically controlled,
group differences were no longer significant
6.
1 study was done to in0estigate the Pre0alence of o0erweight and o"esity in 3ndian
adolescent school going childrenL its relationship with socioecono!ic status and associated
lifestyle factors. -he study was carried out in %&&) school children of *+$*8 years of age and
ha0ing different S,S. -he o"esity and o0erweight were considered using an updated "ody
!ass inde/ reference. S,S and life style factors were deter!ined using pre$tested
.uestionnaire. -he result suggests that the pre0alence of o0erweight and o"esity 0aries
re!arka"ly with different socioecono!ic de0elop!ent le0els
*'
.
1 study was done to deter!ine the period Pre0alence of ,ating <isorders and
Psychiatric Co$!or"idity a!ong Children and 1dolescents. Consecuti0e children and
adolescents up to *8 years of age >n G 5+()? attending the Child and 1dolescent Psychiatry Mnit,
)
CMC =ospital, Jellore, fro! Nanuary +''' to <ece!"er +''% were studied and those with an
3C<$*' diagnosis of eating disorders >F %'.' to F %'.6? were identified fro! unit registry. 1
psychiatrist re0iewed the case notes for de!ographic and illness details !ade "y a !ulti$
disciplinary treating tea!. 1ppropriate "i0ariate statistical analyses were done using SPSS and
,P3$3NFO. Results re0ealed that the ,ating disorders are pre0alent a!ong children and
adolescents in 3ndia with co$!or"idities si!ilar to Kestern and other non$Kestern populations
**
.
-herefore, the in0estigator hi!self saw !ost of the adolescent girls are prone to eating
disorders due to the 0arious changes in life style and ad0ance!ents in technology and the
in0estigator strongly "elie0e in the pro0er" :Pre0ention is "etter than Cure;. so the in0estigator
selected this study to assess the effecti0eness of Structured -eaching Progra!!e on nowledge
Regarding ,ating <isorder a!ong adoloscent girls at selected colleges in #angalore, arnataka.
4.2 REVIE5 OF LITERATURE
&. L+!'.&!".' .'2&!'# !% 6.',&2'-*' %) '&!+-/ #+%.#'. &0%-/ &#%2'*'-!
1 study was conducted to e/a!ine se/$ and race7ethnicity$specific relationships "etween
adolescents2 self$estee! and weight perception. <escripti0e analysis and logistic regression of
Ka0e 33 of the National Oongitudinal Study of 1dolescent =ealth >N G &,)+( !ales, &,%()
fe!alesB ages **9+*? e/a!ined associations "etween low self$estee! and percei0ed o0erweight
within "ody !ass inde/ >#M3? percentile categories, controlling for socio$de!ographics and
stratified "y se/ and race7ethnicity. +%.*4 and 84 of nor!al weight fe!ales and !ales,
respecti0ely, percei0ed the!sel0es as o0erweight, with 0ariation "y race7ethnicity. Oow self$
estee! was !ost strongly associated with !ispercei0ed o0erweight in !oderate #M3 percentile
categories. Odds of correctly percei0ed o0erweight were higher for low >0ersus high? self$estee!
in white and "lack fe!ales "ut not !ales of any race7ethnicity. Mnderstanding su"group
differences "y race7ethnicity in percei0ed o0erweight$self$estee! relationships !ay infor!
eating disorders2 pre0ention strategies
*+
.
1 co!parati0e study was conducted on eating disorders and "ody i!age distur"ances
"etween ,astern and Kestern countries. Factors associated with the de0elop!ent of eating
disorders in countries with non$Kestern cultures ha0e not "een ade.uately in0estigated in
relation to KesterniDed countries. -he sa!ple siDe was +)5 girls Page G*&.%Q7$*.+ >S<?R,
recruited fro! schools in 3ndia, -i"et, the MS and France. -he result did not o"ser0ed greater
"ody i!age discrepancy and eating pathology in Kestern cultures, whether or not controlling for
%
age, S,S, and #M3. Results found no differences in eating and depression pathology "etween
those in the MS, France, or 3ndia. 3ndeed, the -i"etans, after controlling for their low #M3 and
S,S, had the greatest "ody i!age discrepancy
*5.
1 cross sectional study was done to !easure the pre0alence of eating disorders in Spanish
early$adolescent students . 1 two$stage sur0ey of pre0alence of ,< in a representati0e sa!ple of
*+ to *5 year old students in +''( in SaragoDa >Spain?. 1 two$phase cross sectional design,
which in0ol0ed the screening with .uestionnaires >,1- at a cutoff score of +'? and su"se.uent
se!i$structured inter0iews >SC1N? of screen$positi0e and screen$negati0e su"jects. -he 3C<$*'
point pre0alence rates of ,< population in Spanish preteen students is si!ilar to those reported
for other de0eloped countries. -he pre0alence of su"clinical ,< is su"stantially higher than that
of full$syndro!e
*).
1 study was done to deter!ine the ,ating <isorders a!ong 3ndian and 1ustralian
Mni0ersity Students. +6( 1ustralian and +)6 3ndian uni0ersity students co!pleted the ,ating
1ttitudes -est >,1-$+&B Farner, Ol!sted, #ohr, T Farfinkel, *68+? and the Foldfar" Fear of Fat
Scale >FFFSB Foldfar", <ykens, T Ferrard, *68%?. Contrary to predictions, the 3ndian
participants scored significantly higher than the 1ustralian participants on "oth !easures. -he
3ndian wo!en scored significantly higher than the 1ustralian wo!en on the ,1-$+& "ut not on
the FFFS. -he 1ustralian !en showed significantly fewer sy!pto!s than all other groups. -he
3ndian !en did not differ fro! the 1ustralian or 3ndian wo!en on either the ,1-$+& or FFFS.
-he ur"an 3ndians did not differ fro! their rural counterparts on the FFFS, "ut the rural 3ndians
had significantly higher ,1-$+& scores than the ur"an 3ndians
*%
.
1 study was conducted on early identification and treat!ent of disordered eating and
weight control "eha0iors !ay pre0ent progression and reduce the risk of chronic health
conse.uences. -he National ,ating <isorders Screening Progra! coordinated the first$e0er
nationwide eating disorders screening initiati0e for high schools in the Mnited States in +'''.
Students co!pleted a self$report screening .uestionnaire that included the ,ating 1ttitudes -est
>,1-$+&? and ite!s on 0o!iting or e/ercising to control weight, "inge eating, and history of
treat!ent for eating disorders. Multi0ariate regression analyses was used O0erall, +%4 of girls
and **4 of "oys reported disordered eating and weight control sy!pto!s se0ere enough to
warrant clinical e0aluation
*&
.
&
7. L+!'.&!".' .'2&!'# !% '))'*!+,'-' %) !'&*(+-/ 6.%/.&00' %- '&!+-/ #+%.#'. &0%-/
&#%2'*'-! /+.2.
1 study was conducted on &n effecti0eness trial of a dissonance$"ased eating disorder
pre0ention progra! for high$risk adolescent girls. 1dolescent girls with "ody i!age concerns >N
G 5'&B M age G *%.(, S< G *.*? rando!iDed to the dissonance inter0ention showed significantly
greater decreases in thin$ideal internaliDation, "ody dissatisfaction, dieting atte!pts, and eating
disorder sy!pto!s fro! pretest to posttest than did those assigned to a psychoeducational
"rochure control condition, with the effects for "ody dissatisfaction, dieting, and eating disorder
sy!pto!s persisting through *$year follow$up. ,ffects were slightly s!aller than those o"ser0ed
in a prior efficacy trial, suggesting that this progra! is effecti0e under real$world conditions, "ut
that facilitator selection, training, and super0ision could "e i!pro0ed
*(
.
1 study was conducted to e0aluate the effecti0eness of uni0ersal school$"ased ,ating
<isorder pre0ention ad!inistered to fe!ale secondary school students. Students recei0ed either
the full pre0ention progra!!e, a partial 0ersion of the progra!!e >without nutritional
education?, or no pre0ention progra!!e. Students were also classified on the presence or
a"sence of distinct risk factors for ,<L ,arly !enarche, o0erweight, dieting, negati0e attitudes to
food and percei0ed pressure to "e thin. Pre T post test data were collected .Results suggested
that "oth the full and partial pre0ention progra!!es reduced percei0ed pressure to "e thin and
i!pro0ed eating attitudes and knowledge of nutrition in all the participants >regardless of risk?B
howe0er, greater effect siDes were found a!ong particular high$risk groups
*8
.
1 pilot study was done to esta"lish the efficacy of the eating disorders pre0ention
progra!!e for schoolgirls of secondary schools. -he sa!ple siDe was *'6 adolescents
participating in sessions and **( adolescents in the control group. Participants were e/a!ined at
the "eginning of the progra!!e, after the operation and & !onths later. 1ssess!ent was !ade
with ,<3, ,1-$+&. 1nalysis of participants2 feed"ack infor!ation e!phasises that the changes
the progra!!e "rought appeared feasi"le in the social functioning area >with peers,parents
relations?. <ifferences in results "etween schoolgirls fro! college and fro! technical college
suggest so!e differences in risk and protecti0e factors
19
.
1 study was done to e0aluate the effecti0eness and feasi"ility of a pri!ary pre0ention
progra! for risk factors for eating disorders in adolescent girls. Nearly %'' se0enth$grade girls
(
participated in AFull of Oursel0esL 1d0ancing Firl Power, =ealth, and Oeadership,A and were
assessed at "aseline, i!!ediately after progra! co!pletion, and & !onths later on se0eral self$
report !easures of knowledge, "ody i!age, and eating and weight$related "eha0iors. -he
progra! was feasi"le, safe, and resulted in positi0e and !aintained changes in knowledge and
weight satisfaction for adolescent girls
+'
.
STATEMENT OF THE PROBLEM
A !"#$ !% &' !(' '))'*!+,'-' %) S!."*!".'# T'&*(+-/ P.%/.&00' %-
K-%12'#/' R'/&.#+-/ E&!+-/ D+%.#'. &0%-/ &#%2'*'-! /+.2 &! '2'*!'# *%22'/' +-
B&-/&2%.'.
4.3 OBJECTIVES
*. -o assess the pre$test knowledge of adolescent girls regarding ,ating <isorder.
+. -o assess the post$test knowledge of adolescent girls regarding ,ating <isorder.
5. -o e0aluate the effecti0eness of structured teaching progra!!e on knowledge regarding
,ating disorder a!ong adolescent girls.
). -o associate the post$test knowledge, with their selected de!ographic 0aria"les.
4.4 RESEARCH HYPOTHESES

=*$ -here is significant difference "etween the !ean pre$test and post$test knowledge,
regarding eating disorder a!ong adolescent college girls.
=+$ -here is significant association "etween the post test knowledge, a!ong adolescent
college girls with their selected de!ographic 0aria"les.
4.5 ASSUMPTIONS
*. 1dolescent college girls !ay ha0e inade.uate knowledge, regarding ,ating <isorder.
+. Structured teaching progra!!e !ay i!pro0e the knowledge regarding ,ating
<isorder a!ong 1dolescent college girls.
5. 1dolescent college girls knowledge !ay 0ary with their selected de!ographic
0aria"les.
8
4.4 OPERATIONAL DEFINITIONS
1. E))'*!+,'-'
,ffecti0eness refers to the e/tent to which the S-P de0eloped has achie0ed the desired
results as e0idenced in ter!s of gain in knowledge score regarding ,ating disorder as !easured
"y structured inter0iew schedule.
2. S!."*!".'# !'&*(+-/ 6.%/.&0
Refers to syste!atically de0eloped instruction and teaching aids, designed for adolescent
college girls to pro0ide infor!ation regarding ,ating disorder which includes causes, signs T
sy!pto!s, !anage!ent and pre0enti0e !easures.
3. K-%12'#/'
3t refers to correct responses of adolescent college girls on a structured inter0iew
schedule regarding ,ating disorder as e0idenced fro! knowledge scores.
4. E&!+-/ #+%.#'.
3t refers to in0ol0e self$critical, negati0e thoughts and feelings a"out "ody weight and
food, and eating ha"its that disrupt nor!al "ody function and daily acti0ities.
5. A#%2'*'-!
3t refers to the girls in a transitional stage of physical and !ental hu!an de0elop!ent
generally occurring "etween pu"erty and legal adulthood "etween the ages of *' and *6
>acc to K=O? years "ut largely characteriDed as "eginning and ending with the teenage
stage.
8. MATERIALS AND METHODS
8.1 SOURCE OF DATA
-he data will "e collected fro! the adolescent girls of selected college, #angalore.
8.2 METHODS OF DATA COLLECTION
i. R''&.*( #'+/-9
Pre e/peri!ental 9 one group pre test post test design.
ii. V&.+&72'9
D'6'-#'-! ,&.+&72'
nowledge regarding ,ating <isorder a!ong adolescent girls
6
I-#'6'-#'-! ,&.+&72'
Structured -eaching Progra!!e
iii. S'!!+-/
-he study will "e conducted in selected Firls College, #angalore.
i0. P%6"2&!+%-
-he population of the study will co!prise all the 1doloscent girls in selected College ,
#angalore.
0. S&062'9
1doloscent Firls who fulfill the inclusi0e criteria are considered as sa!ple and the
sa!ple siDe is &'.
0i. C.+!'.+& )%. &062' '2'*!+%-9
I-*2"+%- *.+!'.+&9
-he study includes
1. Firls in adolescent age group.
2. 1doloscent Firls 3nterested to participate in this study
3. 1doloscent Firls who can understand annada or ,nglish.
E:*2"+%- *.+!'.+&9
-he study e/cludes
*. 1doloscent Firls who are not a0aila"le at the ti!e of data collection.
+. 1doloscent Firls who are not willing to participate in the study.
0ii. S&062+-/ !'*(-+;"'9
Non pro"a"ility$ con0enience Sa!pling techni.ue.
0iii. T%%2 )%. #&!& *%22'*!+%-9
-he tool consists of the following sectionsL
S'*!+%- A9 <e!ographic data which gi0es "ase line infor!ation of 1doloscent Firls such as age,
se/, fa!ily inco!e, occupation of parents, type of fa!ily, Religion, and Source of 3nfor!ation.
S'*!+%- B9 Structured inter0iew schedule on knowledge regarding ,ating <isorder.
i/. M'!(%# %) #&!& *%22'*!+%-9
1fter o"taining the official per!ission fro! concerned 3nstitution and infor!ed consent
fro! the sa!ples, the in0estigator personally, collect the "aseline de!ographic data. 1fter which
the data will "e collected using structured knowledge . On the sa!e day structured teaching
progra!!e will "e conducted in a class roo! setting. 1fter a period of one week post test will "e
conducted to assess the knowledge with the sa!e instru!ent to find the effecti0eness of S-P.
<uration of data collectionL ) $& weeks.
*'
/. P2&- )%. #&!& &-&2$+
-he data collected will "e analyDed "y using descripti0e and inferential statistics.
D'*.+6!+,' !&!+!+*9
Fre.uency, percentage distri"ution, !eans, standard de0iation and !ean score
percentage will "e used to analyDe the knowledge regarding ,ating <isorder a!ong adolescent
girls .
I-)'.'-!+&2 !&!+!+*9
PairedUt@ test will "e used to co!pare the pre test and post test knowledge. Chi$ s.uare
test will "e used to analyDe the associate "etween post test knowledge, regarding ,ating <isorder
a!ong adolescent girls with their selected de!ographic 0aria"les.
8.3 D%' !(' !"#$ .';"+.' &-$ +-,'!+/&!+%- %. +-!'.,'-!+%- !% !(' 6&!+'-! %. %!('. ("0&-
7'+-/ %. &-+0&2<
Ves, the study will "e conducted on adolescent girls regarding ,ating <isorder at selected
colleges, #angalore.
8.4 H& '!(+*&2 *2'&.&-*' %7!&+-'# ).%0 $%". +-!+!"!+%-<
-he per!ission will "e o"tained fro! the concerned authorities and the infor!ed consent
fro! the sa!ple. Confidentiality and pri0acy of the data will "e !aintained.
=. LIST OF REFERENCE
*. Flen F. 1uker!an, M<, Nason #arker, N<, ,rnie$Paul #arrette, M<, F1CP, et.al.
,ating <isorders O0er0iew 9 Right =ealth +''($+'*' os!i/W Corporation. 10aila"le
on MROL httpL77www.righthealth.co!7topic7eatingXdisorders
+. en Marl"orough , ,ating <isorder Statistics, Nune +(, +''&, ,Dine1rticles.co!.
10aila"le on httpL77,Dine1rticles.co!7Ye/pertGenXMarl"orough.
5. #lundell, Relationship "etween streuors and the resulting changes in eating
patterns.,uropean Nournal of epide!iology, *66' 1ugB *%>(?LP &)5$8. 10aila"le on
MROLhttpL77www.pu"!ed.co!
). <r Sanjay Chugh , Nill McFi0ering. 1nore/ia takes hold 3ndia. ##C News, +''5 Nune.
10aila"le on httpL77news.""c.co.uk7+7hi7southXasia7+6(8+*&.st!
**
%. 1ngela <. #ardick A,ating disorder inter0ention, pre0ention, and treat!entL
reco!!endations for school counselorsA. Professional School Counseling.
Find1rticles.co!. ** <ec, +'*'.
httpL77findarticles.co!7p7articles7!iX!'OC7isX+X87aiXn8%8''&(7
&. Oeonard =ol!es, ,ating <isordersL Facts 1"out ,ating <isorders and the Search for
Solutions. National 3nstitute of Mental =ealth. +''& N3= Pu"lication No. '*$)6'*.
(. Patel, Jikra!, Fender in !ental health research$ ,ating <isorder. <epart!ent of
Fender, Ko!en and =ealth Fa!ily and Co!!unity =ealth +''%,
(!!69>>111.1(%.+-!>/'-#'.>#%*"0'-!>M'-!&2H'&2!(2&!2.6#) . pages *($+*.
8. Mishra S, Mukhopadhyay S. ,ating and weight concerns a!ong Sikki!ese adolescent
girls and their "iocultural correlatesL an e/ploratory study. #iological 1nthropology
Mnit, 3ndian Statistical 3nstitute, olkata, 3ndia. Pu"lic =ealth Nutr. +'*' Sep +*L*$(.
PM3<L +'8%)(*(
6. Si! O1, =o!!e N=, Oteif 1N etal. Fa!ily functioning and !aternal distress in
adolescent girls with anore/ia ner0osa. 3nt N ,at <isord. +''6 SepB)+>&?L%5*$6.PM3<L
*6*86)'(.
*'. Foyal R, Shah JN, Sa"oo #< etal.Pre0alence of o0erweight and o"esity in 3ndian
adolescent school going childrenL its relationship with socioecono!ic status and
associated lifestyle factors. Sterling =ospital and <epart!ent of Phar!acology,
O.M.College of Phar!acy, 1h!eda"ad, 3ndia. N 1ssoc Physicians 3ndia. +'*'
MarB%8L*%*$8. PM3<L +'8)88*+
**. P. Ma!!en, S. Russell and P.S. Russell. Pre0alence of ,ating <isorders and Psychiatric
Co$!or"idity a!ong Children and 1dolescents. Child and 1dolescent Psychiatry Mnit,
Christian Medical College, Jellore , -a!ilnadu, 3ndia. 3N<31N P,<31-R3CS. +''(
M1V ))>*(?L5%($5%6.
*+. ,liana M. Perrin,

Nanne #oone$=einonen ,1lison ,. Field etal. Perception of
O0erweight and Self$estee! <uring 1dolescence. <epart!ent of Pediatrics, <i0ision of
Feneral Pediatrics and 1dolescent Medicine.3nt N ,at <isord. +'*' NulyB )5>%?L ))(9)%)
.
*5. Ru"in #, Fluck M,, noll CM, Oorence M. Co!parison of eating disorders and "ody
i!age distur"ances "etween ,astern and Kestern countries. New Vork O"esity Research
Center, <epart!ents of Medicine and Psychiatry. MS1.,at Keight <isord. +''8
NunB*5>+?L(5$8'.
*+
*). RuiD$OZDaro PM, Co!et MP, Cal0o 13 etal.Pre0alence of eating disorders in early
adolescent students. =ospital Cl[nico Mni0ersitario OoDano #lesa de SaragoDa. 1ctas
,sp Psi.uiatr. +'*' NulB58>)?L+')$**. PM3<L +**'))&%.
*%. Nohn P. Sjostedt , Nohn F. Schu!aker , S. S. Nathawat . ,ating <isorders 1!ong 3ndian
and 1ustralian Mni0ersity Students. <epart!ent of Psychology, Mni0ersity of
Newcastle, 1ustralia, Mni0ersity of Rajasthan, Naipur, 3ndia. -he Nournal of Social
Psychology. *668 NuneB *58>5?L5%* 9 5%(.
*&. A"!+- SB, ?+$&#'( NJ, F%.0&- S etal. Screening high school students for eating
disordersL results of a national initiati0e. <i0ision of 1dolescent Medicine, Children2s
=ospital, #oston, MS1. P.', C(.%-+* D+. +''8 OctB %>)?L1**).
*(. Stice ,, Rohde P, Fau N. 1n effecti0eness trial of a dissonance$"ased eating disorder
pre0ention progra! for high$risk adolescent girls. Oregon Research 3nstitute, ,ugene,
MS1. N Consult Clin Psychol. +''6 OctB ((>%?L8+%$5).
*8. Raich RM, Portell M, PelZeD$FernZndeD M1. ,0aluation of a school$"ased progra!!e
of uni0ersal eating disorders pre0entionL is it !ore effecti0e in girls at risk. Mni0ersitat
1ut\no!a de #arcelona. ,ur ,at <isord Re0. +'*' NanB *8>*?L)6$%(.
*6. Sechowski C, Na!ys]owska 3, orolcDuk 1 etal. ,ating disorder pre0ention progra!$$
pilot study. liniki Psychiatrii <Dieci i M]odDieDy 3PiN w KarsDawie. Psychiatr Pol.
+'') Nan$Fe"B 58>*?L%*$&5.
+'. Steiner$1dair C, Sjostro! O, Franko <O. etal. Pri!ary pre0ention of risk factors for
eating disorders in adolescent girlsL learning fro! practice.=ar0ard ,ating <isorders
Center, #oston, MS1. 3nt N ,at <isord. +''+ <ecB 5+>)?L)'*$**.
@. S+/-&!".' %) !(' *&-#+#&!' 9
*5
1A. R'0&.B %) !(' /"+#' 9 -he present study helps the adolosent college girls
to understand a"out causes, signs and sy!pto!s,
co!plications, treat!ent and pre0enti0e !easures
of ,ating <isorder.

11.1 N&0' &-# #'+/-&!+%- %) !(' G"+#' 9 MR. S1-=,,SMM1R, M.Sc>N?
O,C-MR,R 1N< =O<, R1N1R1N,SK1R3
COOO,F, OF NMRS3NF, #1NF1OOR,.

11.2 S+/-&!".' 9

11.3 C%C/"+#' D+) &-$E 9 MRS.P1RJ1-=3, MSC>N?,
O,C-MR,R 1N< =O<, R1N1R1N,SK1R3
COOO,F, OF NMRS3NF, #1NF1OOR,.
11.4 S+/-&!".' 9
11.5 H'&# %) !(' #'6&.!0'-! 9 MR.S1-=,,SMM1R M.Sc>N?
O,C-MR,R 1N< =O<, R1N1R1N,SK1R3
COOO,F, OF NMRS3NF, #1NF1OOR,.
11.4 S+/-&!".' 9

12.1 R'0&.B %) !(' 6.+-*+6&2 9-he topic selected for study is rele0ant and
forwarded for needful action
12.2 S+/-&!".' 9
ETHICAL COMMITTEE CLEARANCE
*)
13. TITLE OF THE DISSERTATION9 :1 study to assess the effecti0eness of Structured
-eaching Progra!!e on nowledge Regarding
,ating <isorder a!ong adoloscent girls at selected
colleges in #angalore.;
*). NAME OF THE CANDIDATE L Mr.Sudhakar Phlipdhas
AND ADDRESSS First year M.Sc.Nursing,
Rajarajeswari College Of Nursing,
#angalore$ %&''().
15. SUBJECT L M.Sc Nursing
Mental =ealth Nursing
14. NAME OF THE GUIDE L Mr.Sateeshku!ar M.Sc>N?
18. APPROVED>NOT APPROVED 9 A66.%,'#
>if not appro0ed, suggestion?
=ead of the depart!ent of =ead of the depart!ent of
Psychiatric Nursing Medical surgical Nursing
Rajarajeswari College of nursing Rajarajeswari College of nursing
#angalore. #angalore.
=ead of the depart!ent of =ead of the depart!ent of
Peadiatric Nursing O#F Nursing
Rajarajeswari College of nursing Rajarajeswari College of nursing
#angalore. #angalore.
=ead of the depart!ent of
Co!!unity =ealth Nursing P.+-*+6&2
Rajarajeswari College of nursing
#angalore.
O1K ,^P,R-
*%